JORGE GONZALO JARA P.A. NPI 1215314042

NPI Information

NPI: 1215314042
Provider Name: JORGE GONZALO JARA, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 719-3308
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Jorge Gonzalo Jara, P.A. is a medical physician assistant in Camp Pendleton, CA. Jorge Gonzalo Jara, P.A. NPI is 1215314042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 719-3308

The enumeration date for this NPI number is 4/30/2015 and was last updated on 8/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	363AM0700X	Physician Assistant	Medical	0110005612	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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